MR. CARROLL TAYLOR BROWN III (NPI# 1831709773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831709773 |
| Entity Type | Individual |
| Full Name | MR. CARROLL TAYLOR BROWN III |
| Credential | RN |
| Practice Address |
747 52nd St Oakland CA 94609-1809 |
| Mailing Address |
468 Stow Ave Apt 3 Oakland CA 94606-1159 |
| Practice Telephone | 5104283000 |
| Mailing Telephone | 5109342805 |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2020-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0807X |
Registered Nurse Specialization: Psych/Mental Health, Child & Adolescent |
95202301 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811083306 | Carroll Dan Brown Jr. | Dentist | 3637 Broadway Blvd, Suite B, Garland, TX 75043 | 2006-10-04 |
| 1366912495 | Carroll Joseph Brown IIi | Counselor | 21000 Plummer St, Chatsworth, CA 91311-4903 | 2018-12-02 |
| 1750303210 | Carroll Brown | Physician Assistant | 1500 Sw 1st Ave, Ocala, FL 34474-4004 | 2006-07-24 |
| 1235177064 | Carroll Edward Brown | Physical Therapist | 433 Broad St, Columbia, MS 39429-3038 | 2006-06-03 |
| 1922076462 | Carroll S Brown | Anesthesiology | 9326 Medical Plaza Dr, Ste B, Charleston, SC 29406-9138 | 2006-03-10 |
| Street Address |
747 52ND ST |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609-1809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942200928 | James Philip Riddel Jr. | Nurse Practitioner | 747 52nd St, Oakland, CA 94609-1809 | 2005-07-29 |
| 1235739905 | Maria Elena Alicia Valdivia Fortuna | Social Worker | 747 52nd St, Oakland, CA 94609-1809 | 2020-10-30 |
| 1295342707 | Jenny Chen | Dietitian, Registered | 747 52nd St, Oakland, CA 94609-1809 | 2020-09-29 |
| 1104433028 | Phuong T Nguyen-tran | Pharmacist | 747 52nd St, Oakland, CA 94609-1809 | 2020-09-24 |
| 1114538899 | Ji Yun Lee | Student in an Organized Health Care Education/Training Program | 747 52nd St, Oakland, CA 94609-1809 | 2020-08-14 |
| 1780295857 | Luis Alonso Perez Jr. | Social Worker | 747 52nd St, Oakland, CA 94609-1809 | 2020-08-12 |
| 1255941803 | Aleesia Renta-ramirez | Student in an Organized Health Care Education/Training Program | 747 52nd St, Oakland, CA 94609-1809 | 2020-08-07 |
| 1053921064 | Jessica Stankiewicz Lightcap | Registered Nurse | 747 52nd St, Oakland, CA 94609-1809 | 2020-08-04 |
| 1184242307 | Cecilia Fairley | Genetic Counselor, MS | 747 52nd St, Oakland, CA 94609-1809 | 2020-07-14 |
| 1497379317 | Sara Maria Markuson | Student in an Organized Health Care Education/Training Program | 747 52nd St, Oakland, CA 94609-1809 | 2020-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
| 1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
| 1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
| 1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
| 1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
| 1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
| 1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
| 1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
| Find all providers in zip 94609 | ||||
| Taxonomy Code | 163WP0807X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Child & Adolescent |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669615985 | Ari Max Bachrach | Registered Nurse | 445 Bellevue Ave Ste 101c, Oakland, CA 94610-4923 | 2009-04-16 |
| 1265677983 | Elisabeth Lippincott Collins | Registered Nurse | 1212 Broadway Ste 1200, Oakland, CA 94612-1814 | 2008-12-09 |
| 1154965283 | Coelise H Martin | Registered Nurse | 390 40th St, Oakland, CA 94609-2633 | 2019-10-31 |
| 1346377538 | Mark Andrew Fernandez | Registered Nurse | 390 40th St, Oakland, CA 94609-2633 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609492107 | Katherine Niemela | Registered Nurse | 5619 W 4th St, Suite 5, Los Angeles, CA 90036 | 2020-06-19 |
| 1669006169 | Manal Qaqi | Registered Nurse | 6625 Green Valley Cir Unit 302, Culver City, CA 90230-8108 | 2020-02-24 |
| 1023671732 | Minerva Jordan | Registered Nurse | 4321 Eliot Ct, Modesto, CA 95356-8936 | 2019-04-18 |
| 1578930202 | Angela Johnson | Registered Nurse | 8470 Roswell St, Ventura, CA 93004-2109 | 2015-08-28 |
| 1255707246 | Heraclio Vidal Herrera | Registered Nurse | 26889 Cherry Willow Dr, Santa Clarita, CA 91387-1813 | 2015-08-13 |
| 1396174660 | Stacy Eileen Joseph-tohl | Registered Nurse | 13749 Riverside Dr., Suite 201, Sherman Oaks, CA 91401 | 2013-11-06 |
| 1912340969 | Caitlin Sierra Maclaurin | Registered Nurse | 3260 Kerner Blvd Ste A, San Rafael, CA 94901-4840 | 2013-04-09 |
| 1437486966 | Adrian Caraballo | Registered Nurse | 2569 Santa Ana Ave, #4, Costa Mesa, CA 92627-5400 | 2009-11-04 |
| 1528391646 | Debra Jane Milligan | Registered Nurse | 410 La Cresta Heights Rd, El Cajon, CA 92021-3834 | 2009-09-08 |
| 1578710646 | Elizabeth Andrea Moore | Registered Nurse | 225 Hartford St, San Francisco, CA 94114-2589 | 2008-08-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.